Ong Jason C, Crawford Megan R, Kong Allison, Park Margaret, Cvengros Jamie A, Crisostomo M Isabel, Alexander Ewa I, Wyatt James K
a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
Behav Sleep Med. 2017 May-Jun;15(3):180-197. doi: 10.1080/15402002.2015.1087000. Epub 2015 Dec 15.
The purpose of this study was to examine the process of care in an interdisciplinary sleep clinic for patients with obstructive sleep apnea (OSA) and comorbid insomnia. A mixed-methods approach was used to examine clinical and patient-centered measures for 34 patients who received positive-airway pressure for OSA or cognitive-behavior therapy for insomnia. The results revealed baseline-to-follow-up improvements on several self-reported sleep parameters and measures of daytime functioning. Qualitative analyses from patient interviews revealed three themes: conceptual distinctions about each sleep disorder, importance of treating both sleep disorders, and preferences with regard to the sequence of treatment. These findings indicate that patients with OSA and comorbid insomnia encounter unique challenges. A dimensional approach to assessment and treatment is proposed for future research.
本研究的目的是考察一家跨学科睡眠诊所对阻塞性睡眠呼吸暂停（OSA）合并失眠患者的护理过程。采用混合方法对34例接受OSA持续气道正压通气治疗或失眠认知行为治疗的患者进行临床和以患者为中心的测量。结果显示，在几项自我报告的睡眠参数和日间功能测量方面，从基线到随访有改善。患者访谈的定性分析揭示了三个主题：对每种睡眠障碍的概念区分、治疗两种睡眠障碍的重要性以及对治疗顺序的偏好。这些发现表明，OSA合并失眠的患者面临着独特的挑战。建议未来研究采用维度评估和治疗方法。
